URINARY BLADDER CANCER - s3.amazonaws.coms3.amazonaws.com/zanran_storage/health.nv.gov/ContentPages/2515066774.pdfURINARY BLADDER CANCER GENERAL PROFILE4 Figure 88. Anatomy of the

230

URINARY BLADDER CANCER

231

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URINARY BLADDER CANCER

GENERAL PROFILE4

Figure 88. Anatomy of the Urinary System5

General Anatomy: The bladder is a hollow organ in the lower abdomen. It stores urine, the liquid waste produced by the kidneys. Urine passes from each kidney into the bladder through a tube called a ureter. An outer layer of muscle surrounds the inner lining of the bladder. When the bladder is full, the muscles in the bladder wall can tighten to allow urination. Urine leaves the bladder through another tube, the urethra. Risk Factors: Age, tobacco use, occupation (due to amount of carcinogens in the workplace), infection, treatment with cyclophosphamide or arsenic, race, being a man, family history, and personal history with Bladder Cancer. Signs and Symptoms: Blood in the urine (making the urine slightly rusty to deep red), pain during urination, and frequent urination, or feeling the need to urinate without results. Diagnosing the Cancer: Physical exams, urine tests, intravenous pyelogram, and cystoscopy. Treatment: Treatment options include: surgery (Transurethral resection, Radical cystectomy, and Segmental cystectomy), radiation therapy (internal or external), chemotherapy, and biological therapy.

232


HIGHLIGHTS

From 2000 to 2004, Nevadan males had a higher ratio than females when the incidence and mortality age-adjusted rates for Urinary Bladder Cancer were compared. Males had a ratio of 5.10 while the ratio for females was 4.17. This means that for every 100 deaths due to Urinary Bladder Cancer there would be 510 male cases and 417 female cases.

The median age at diagnosis of Urinary Bladder Cancer for Nevadans was 71 years of

age from 2000 to 2004. The median age at time of death due to Urinary Bladder Cancer during this period was 76 years.

INCIDENCE

There were 2,567 cases of Urinary Bladder Cancer reported in Nevada from 2000 to 2004. Nevada's age-adjusted incidence rate, 25.7 (24.7-26.7), for Urinary Bladder Cancer showed statistical significance over the national rate of 21.13 (21.0-21.3, per 100,000 – 2000 US Standard population).

While there was little regional variation between All Other Counties (28.2), Washoe

County (25.2), and Clark County (25.1) in the age-adjusted incidence rate for Urinary Bladder Cancer, the rate for males, 43.2, was 3.9 times as the rate for Nevada females, 11.1, (per 100,000 – 2000 US Standard population) for the 2000 to 2004 period.

INPATIENT HOSPITAL DISCHARGES

Billed charges from Urinary Bladder Cancer inpatient hospital discharges accounted for approximately 43.0 million dollars from 2000 to 2004. Nevadans in the 65-74 and 75-84 age groups accounted for 66.5% of the total inpatient discharges and 70.1% of the total billed charges during this period. The overall daily billed amount for these discharges was approximately $6,261 in Nevada during this period.

There were 1,033 Inpatient Discharges for Urinary Bladder Cancer to Nevada residents

in Nevada from 2000 to 2004. Clark County (11.2) had the highest age-adjusted inpatient discharge rate for Urinary Bladder Cancer in Nevada, followed by Nevada overall, Washoe County, and All Other Counties who had rates of 10.5, 9.5 and 8.7 (per 100,000 – 2000 US Standard population), respectively.

Washoe County had the highest median total billed amount ($25,720) and average length

of stay (7.3 days) during the 2000 to 2004 period for Urinary Bladder Cancer inpatient hospital discharges, once regional comparisons were made.

MORTALITY

There were 474 resident deaths due to Urinary Bladder Cancer from 2000 to 2004. Regional comparisons were fairly similar between All Other Counties, as a region, Clark

233


County and Washoe County with rates of 5.2, 5.1 and 5.1 (per 100,000 – 2000 US Standard population), respectively.

Nevadan males had a statistically significant higher age-adjusted mortality rate, 8.5 (7.5-

9.5), for Urinary Bladder Cancer that was more than 3.1 times the female mortality rate of 2.7 (2.2-3.2) (per 100,000 – 2000 US Standard population) for the 2000 to 2004 period.

SURVIVAL RATE

Nevada’s one-year survival rate for males with Urinary Bladder Cancer was higher than the rate for females during the 2000 to 2004 period, with rates of 89.5% and 84.5%, respectively, and remained at approximately the same ratio at the five-year rate where males had a rate of 73.6% and females had a rate of 71.0%.

The one-year survival rate for those diagnosed with Urinary Bladder Cancer at the in situ

stage was 100.0% for Nevada from 2000 to 2004. The rate for those at the localized stage was 99.0%, while those recorded at the regional, distant and unstaged stages had rates of 97.7%, 57.5% and 85.4%, respectively.

The Median Survival time for those diagnosed at the in situ, localized, regional, and

unstaged stages was over five years, while those diagnosed at the distant level had a median survival time of 1.56 years, respectively, during the 2000 to 2004 period.

234


INCIDENCE Figure 89. Urinary Bladder Cancer Age-Adjusted (2000) Incidence Rates, Nevada

Residents, 2000-2004 Note: Rates are per 100,000 population and age-adjusted to 2000 US Standard population. Caution should be used when interpreting rates based upon small numbers. See Technical Notes for more information.

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Figure 90. Urinary Bladder Cancer Age-Adjusted Incidence Rates by County/Region of Residence, Nevada Residents, 2000-2004

Figure 91. Urinary Bladder Cancer Age-Adjusted Incidence Rates by

Race/Ethnicity, Nevada Residents, 2000-2004

28.2

25.2 25.1 25.7

0.0

6.0

12.0

18.0

24.0

30.0

All Other Counties Washoe Clark Total

County/Region of Residence

Age

-Adj

uste

d R

ate

(Per

100

,000

200

0 U

S St

anda

rd p

opul

atio

n)

28.1

13.7

10.0

7.0

3.9

25.7

0.0

6.0

12.0

18.0

24.0

30.0

White Black Hispanic Asian Native American Total

Race/Ethnicity

Age

-Adj

uste

d R

ate

(Per

100

,000

200

0 U

S St

anda

rd p

opul

atio

n)

236


Table 129. Urinary Bladder Cancer Cases by Gender, Race/Ethnicity and County/Region of Residence at Diagnosis, Nevada Residents (2000-2004) and

SEER-17 (2000-2004)

* Rates are per 100,000 population and are age-adjusted to the 2000 US Standard population. Note: The "---" is used for rates calculated on numbers less than ten and SEER numbers less than five. Caution should be used when comparing rates for racial/ethnic groups to the national (SEER) rates. See Technical Notes for more information.

Nevada Total Clark Washoe All Other Counties Unknown SEER 17

(2000-2004)

Cases 2,567 1,727 394 445 1 73,919Rate* 25.7 25.1 25.2 28.2 --- 21.195% C.I. (24.7-26.7) (23.9-26.4) (22.8-28.0) (25.6-31.0) --- (21.0-21.3)

Male 1,981 1,322 300 359 0 55,067Rate* 43.2 41.6 43.0 48.9 --- 37.395% C.I. (41.2-45.2) (39.2-44.1) (38.0-48.6) (43.7-54.5) --- (37.0-37.6)

Female 586 405 94 86 1 18,852Rate* 11.1 11.2 11.2 10.3 --- 9.495% C.I. (10.2-12.1) (10.1-12.4) (9.0-13.7) (8.3-12.8) --- (9.2-9.5)

Other/Unknown 0 0 0 0 0 0

White 2,322 1,519 374 428 1 67,096Rate* 28.1 27.8 27.4 29.5 --- 23.095% C.I. (26.9-29.3) (26.4-29.2) (24.6-30.4) (26.8-32.6) --- (22.8-23.1)

Black 65 62 1 2 0 3,528Rate* 13.7 14.0 --- --- --- 12.695% C.I. (10.4-18.0) (10.5-18.6) --- --- --- (12.2-13.1)

Native American 5 2 2 1 0 151Rate* --- --- --- --- --- 5.395% C.I. --- --- --- --- --- (4.5-4.5)

Asian 32 28 4 0 0 2,412Rate* 7.0 6.7 --- --- --- 9.295% C.I. (4.5-11.4) (4.3-10.0) --- --- --- (8.9-9.6)

Hispanic 72 55 10 7 0 3,715Rate* 10.0 9.8 11.4 --- --- 11.695% C.I. (7.5-13.4) (7.1-13.8) (4.5-27.0) --- --- (11.3-12.0)

Other/Unknown 71 61 3 7 0 732

Race/Ethnicity

CategoryCounty/Region of Residence

Total

Gender

237


Table 130. Urinary Bladder Cancer Cases by Age Group and County/Region of Residence at Diagnosis, Nevada Residents (2000-2004) and SEER-17 (2000-2004)

* Rates are per 100,000 age-specific population. Note: The "---" is used for rates calculated on numbers less than ten and SEER numbers less than five. See Technical Notes for more information.

Nevada Total Clark Washoe All Other Counties Unknown SEER 17

(2000-2004)

Cases 2,567 1,727 394 445 1 73,919Rate* 25.7 25.1 25.2 28.2 --- 21.195% C.I. (24.7-26.7) (23.9-26.4) (22.8-28.0) (25.6-31.0) --- (21.0-21.3)

<1 2 0 2 0 0 3Rate* --- --- --- --- --- 0.195% C.I. --- --- --- --- --- (0.0-0.2)

1-4 0 0 0 0 0 11Rate* --- --- --- --- --- 0.195% C.I. --- --- --- --- --- (0.0-0.1)

5-14 0 0 0 0 0 12Rate* --- --- --- --- --- 0.095% C.I. --- --- --- --- --- (0.0-0.0)

15-24 5 3 2 0 0 85Rate* --- --- --- --- --- 0.295% C.I. --- --- --- --- --- (0.1-0.2)

25-34 10 8 2 0 0 351Rate* 0.6 --- --- --- --- 0.795% C.I. (0.23-1.00) --- --- --- --- (0.6-0.7)

35-44 58 34 10 14 0 1,580Rate* 3.4 2.8 3.5 6.4 --- 2.695% C.I. (2.53-4.28) (1.88-3.78) (1.33-5.68) (3.05-9.77) --- (2.5-2.8)

45-54 173 116 31 26 0 5,780Rate* 11.6 11.5 11.8 11.6 --- 11.295% C.I. (9.86-13.31) (9.42-13.61) (7.66-15.99) (7.16-16.11) --- (10.9-11.5)

55-64 492 344 75 73 0 12,720Rate* 45.1 45.8 43.2 43.9 --- 38.695% C.I. (41.09-49.05) (40.93-50.61) (33.41-52.95) (33.80-53.92) --- (37.9-39.3)

65-74 870 584 134 152 0 21,066Rate* 121.4 118.1 125.8 131.5 --- 96.795% C.I. (113.30-129.43) (108.47-127.62) (104.48-147.07) (110.61-152.43) --- (95.4-98.0)

75-84 771 536 97 137 1 23,599Rate* 187.6 191.6 153.2 201.9 --- 153.495% C.I. (174.35-200.83) (175.34-207.77) (122.70-183.67) (168.08-235.69) --- (151.4-155.4)

85+ 186 102 41 43 0 8,712Rate* 195.8 167.6 234.9 257.8 --- 157.795% C.I. (167.63-223.90) (135.03-200.06) (162.96-306.74) (180.78-334.91) --- (154.4-161.0)

Unknown 0 0 0 0 0 0


Total

Age Group

238


Table 131. Urinary Bladder Cancer Cases by County of Residence at Diagnosis, Nevada Residents, 2000-2004

Note: The "---" is used for rates calculated on numbers less than ten. *Rates are per 100,000 population. **Rates are per 100,000 population and are age-adjusted to the 2000 US Standard population.

Table 132. Urinary Bladder Cancer Cases by Race/Ethnicity and Gender, Nevada Residents, 2000-2004

Note: The "---" is used for rates calculated on numbers less than ten. *Rates are per 100,000 population and are age-adjusted to the 2000 US Standard population.

Rate 95% C.I. Rate 95% C.I.

Carson City 118 46.2 (37.8-54.5) 38.6 (31.9-46.4)Churchill 32 25.6 (16.7-34.5) 26.8 (18.3-38.4)Clark 1,727 22.4 (21.4-23.5) 25.1 (23.9-26.4)Douglas 76 34.3 (26.6-42.0) 28.1 (21.9-35.8)Elko 24 10.5 (6.3-14.7) 19.4 (11.7-30.8)Esmeralda 1 --- --- --- ---Eureka 3 --- --- --- ---Humboldt 10 12.4 (4.7-20.0) 14.7 (6.8-28.8)Lander 9 --- --- --- ---Lincoln 7 --- --- --- ---Lyon 67 34.2 (26.0-42.4) 30.8 (23.8-39.5)Mineral 9 --- --- --- ---Nye 67 38.0 (28.9-47.1) 26.2 (20.0-34.1)Pershing 7 --- --- --- ---Storey 7 --- --- --- ---Washoe 394 21.9 (19.8-24.1) 25.2 (22.8-28.0)White Pine 8 --- --- --- ---Unknown 1 --- --- --- ---Total 2,567 23.5 (22.6-24.4) 25.7 (24.7-26.7)

County of Residence

at Diagnosis

2000-2004 Incidence

Cases Rate* Age-Adjusted Rate**

Male Female Other/Unknown Total

White Incidence 1,785 537 0 2,322Rate* 46.4 12.5 --- 28.195% C.I. (44.2-48.7) (11.4-13.6) --- (26.9-29.3)

Black Incidence 50 15 0 65Rate* 24.1 5.9 --- 13.795% C.I. (16.9-34.4) (3.2-10.2) --- (10.4-18.0)Incidence 4 1 0 5Rate* --- --- --- ---95% C.I. --- --- --- ---

Asian Incidence 23 9 0 32Rate* 13.1 --- --- 7.095% C.I. (7.6-23.6) --- --- (4.5-11.4)

Hispanic Incidence 63 9 0 72Rate* 19.5 --- --- 10.095% C.I. (13.9-27.8) --- --- (7.5-13.4)

Other/Unknown 56 15 0 71Total Incidence 1,981 586 0 2,567

Rate* 43.2 11.1 --- 25.795% C.I. (41.2-45.2) (10.2-12.1) --- (24.7-26.7)

Native American

Race/Ethnicity

Gender

239


Table 133. Urinary Bladder Cancer Cases by Age Group and Gender, Nevada Residents, 2000-2004

Note: The "---" is used for rates calculated on numbers less than ten. * Rates are per 100,000 age-specific population.

Male Female Unknown Total

<1 2 0 0 2Rate* --- --- --- ---95% C.I. --- --- --- ---

1-4 0 0 0 0Rate* --- --- --- ---95% C.I. --- --- --- ---

5-14 0 0 0 0Rate* --- --- --- ---95% C.I. --- --- --- ---

15-24 1 4 0 5Rate* --- --- --- ---95% C.I. --- --- --- ---

25-34 7 3 0 10Rate* --- --- --- 0.6295% C.I. --- --- --- (0.23-1.00)

35-44 43 15 0 58Rate* 4.86 1.83 --- 3.4095% C.I. (3.41-6.31) (0.90-2.76) --- (2.53-4.28)

45-54 130 43 0 173Rate* 17.18 5.84 --- 11.5895% C.I. (14.22-20.13) (4.09-7.58) --- (9.86-13.31)

55-64 402 90 0 492Rate* 74.69 16.26 --- 45.0795% C.I. (67.39-81.99) (12.90-19.62) --- (41.09-49.05)

65-74 665 205 0 870Rate* 188.21 56.39 --- 121.3795% C.I. (173.91-202.52) (48.67-64.11) --- (113.30-129.43)

75-84 600 171 0 771Rate* 323.16 75.89 --- 187.5995% C.I. (297.30-349.02) (64.51-87.26) --- (174.35-200.83)

85+ 131 55 0 186Rate* 412.38 86.96 --- 195.7695% C.I. (341.76-482.99) (63.98-109.95) --- (167.63-223.90)

Unknown 0 0 0 0Total 1,981 586 0 2,567

Rate* 35.64 10.89 --- 23.4695% C.I. (34.1-37.2) (10.0-11.8) --- (22.6-24.4)

AgeGroup

Gender

240


Table 134. Urinary Bladder Cancer Cases by Age Group and Stage, Nevada Residents, 2000-2004

In situ Localized Regional Distant Unstaged Total

<1 Number 0 2 0 0 0 2Percent --- 100.0% --- --- --- 100.0%

1-4 Number 0 0 0 0 0 0Percent --- --- --- --- --- ---

5-14 Number 0 0 0 0 0 0Percent --- --- --- --- --- ---

15-24 Number 2 3 0 0 0 5Percent 40.0% 60.0% --- --- --- 100.0%

25-34 Number 6 2 0 1 1 10Percent 60.0% 20.0% --- 10.0% 10.0% 100.0%

35-44 Number 20 25 3 1 9 58Percent 34.5% 43.1% 5.2% 1.7% 15.5% 100.0%

45-54 Number 89 46 15 8 15 173Percent 51.4% 26.6% 8.7% 4.6% 8.7% 100.0%

55-64 Number 193 163 38 20 78 492Percent 39.2% 33.1% 7.7% 4.1% 15.9% 100.0%

65-74 Number 339 272 75 30 154 870Percent 39.0% 31.3% 8.6% 3.4% 17.7% 100.0%

75-84 Number 291 274 48 22 136 771Percent 37.7% 35.5% 6.2% 2.9% 17.6% 100.0%

85+ Number 54 68 15 3 46 186Percent 29.0% 36.6% 8.1% 1.6% 24.7% 100.0%

Unknown Number 0 0 0 0 0 0Percent --- --- --- --- --- ---

Total Number 994 855 194 85 439 2,567Percent 38.7% 33.3% 7.6% 3.3% 17.1% 100.0%

Age GroupStage

241


Table 135. Urinary Bladder Cancer Cases by Stage and Race/Ethnicity, Nevada Residents, 2000-2004

Table 136. Median Age at Diagnosis of Urinary Bladder Cancer by Race/Ethnicity and Gender, Nevada Residents, 2000-2004

Note: Those cases of other/unknown gender and/or unknown ages are not included in this table. The median age was not calculated for those numbers less than five.

White Black Native American Asian Hispanic Other/

Unknown Total

In situ Number 900 21 2 15 32 24 994Percent 38.8% 32.3% 40.0% 46.9% 44.4% 33.8% 38.7%

Localized Number 786 24 3 7 23 12 855Percent 33.9% 36.9% 60.0% 21.9% 31.9% 16.9% 33.3%

Regional Number 181 8 0 4 1 0 194Percent 7.8% 12.3% --- 12.5% 1.4% --- 7.6%

Distant Number 77 4 0 2 2 0 85Percent 3.3% 6.2% --- 6.3% 2.8% --- 3.3%

Unstaged Number 378 8 0 4 14 35 439Percent 16.3% 12.3% --- 12.5% 19.4% 49.3% 17.1%

Total Number 2,322 65 5 32 72 71 2,567Percent 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

Stage

Race/Ethnicity

Cases Median Age Cases Median

Age Cases Median Age

White 1,785 71.0 537 72.0 2,322 72.0

Black 50 69.0 15 66.0 65 68.0

Native American 4 --- 1 --- 5 60.0

Asian 23 71.0 9 58.0 32 68.5

Hispanic 63 63.0 9 68.0 72 65.0

Other/Unknown 56 70.0 15 73.0 71 70.0

Total 1,981 71.0 586 71.0 2,567 71.0

Race/Ethnicity

Gender

Male Female Total

242


INPATIENT HOSPITAL DISCHARGES

Figure 92. Urinary Bladder Cancer Age-Adjusted (2000) Inpatient Discharge Rates, Nevada Residents, 2000-2004

Note: Rates are per 100,000 population and age-adjusted to 2000 US Standard population. Caution should be used when interpreting rates based upon small numbers and comparing inpatient hospital discharge rates to other data sources, because it is occurrence based data. See Technical Notes for more information.

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243


Figure 93. Urinary Bladder Cancer Age-Adjusted Inpatient Discharge Rates by County/Region of Residence, Nevada Residents, 2000-2004

Figure 94. Median Charges for Urinary Bladder Cancer Inpatient Discharges by

County/Region of Residence, Nevada Residents, 2000-2004

11.2

9.58.7

10.5

0.0

3.0

6.0

9.0

12.0

15.0

Clark Washoe All Other Counties Total


Age

-Adj

uste

d R

ate

(Per

100

,000

200

0 U

S St

anda

rd p

opul

atio

n)

$25,720

$22,511

$20,708

$22,690

$0

$4,000

$8,000

$12,000

$16,000

$20,000

$24,000

$28,000

Washoe Clark All Other Counties Total


Med

ian

Cha

rge

($)

244


Figure 95. Average Length of Stay for Urinary Bladder Cancer Inpatient Discharges by County/Region of Residence, Nevada Residents, 2000-2004

7.33

6.55 6.396.64

0.00

1.50

3.00

4.50

6.00

7.50

9.00

Washoe Clark All Other Counties Total


Ave

rage

Len

gth

of S

tay

(Day

s)

245


Table 137. Urinary Bladder Cancer Inpatient Discharges by Gender, Charges, Length of Stay, and County/Region of Residence, Nevada Residents, 2000-2004

* Rates are per 100,000 population and are age-adjusted to the 2000 US Standard population. Note: The "---" is used for rates calculated on numbers less than ten. Caution should be used when comparing inpatient hospital discharge data to other data sources, since it is occurrence-based data. Please See Technical Notes for more information.

Nevada Total Clark Washoe All Other Counties Unknown

Discharges 1,033 746 145 140 2

Rate* 10.5 11.2 9.5 8.7 ---

95% C.I. (9.9-11.2) (10.4-12.0) (8.0-11.2) (7.3-10.4) ---

Male 803 590 97 114 2

Rate* 18.0 19.5 14.4 15.1 ---

95% C.I. (16.7-19.4) (17.8-21.3) (11.5-17.8) (12.4-18.5) ---

Female 230 156 48 26 0

Rate* 4.4 4.4 5.8 3.1 ---

95% C.I. (3.9-5.0) (3.7-5.2) (4.3-7.7) (2.0-4.6) ---

Other/Unknown 0 0 0 0 0

Total Charges $42,953,616 $31,125,311 $6,532,031 $5,236,420 $59,854

Average Charges $41,581 $41,723 $45,048 $37,403 $29,927

Median Charges $22,690 $22,511 $25,720 $20,708 $29,927

Total LOS 6,860 4,886 1,063 895 16

Average LOS 6.6 6.5 7.3 6.4 8.0

Median LOS 4.0 4.0 6.0 4.0 8.0

Gender

Inpatient Discharge Charges ($)


Total

Discharge Length of Stay (LOS) (Days)

246


Table 138. Urinary Bladder Cancer Inpatient Discharges by Age Group and County/Region of Residence, Nevada Residents, 2000-2004

* Rates are per 100,000 age-specific population. Note: The "---" is used for rates calculated on numbers less than ten. Caution should be used when comparing inpatient hospital discharge data to other data sources, since it is occurrence-based data. Please See Technical Notes for more information.

Nevada Total Clark Washoe All Other Counties

Discharges 1,033 746 145 140Rate* 9.4 9.7 8.1 9.795% C.I. (8.9-10.0) (9.0-10.4) (6.8-9.4) (8.1-11.3)

<1 0 0 0 0Rate* --- --- --- ---95% C.I. --- --- --- ---

1-4 0 0 0 0Rate* --- --- --- ---95% C.I. --- --- --- ---

5-14 0 0 0 0Rate* --- --- --- ---95% C.I. --- --- --- ---

15-24 2 2 0 0Rate* --- --- --- ---95% C.I. --- --- --- ---

25-34 4 4 0 0Rate* --- --- --- ---95% C.I. --- --- --- ---

35-44 12 9 2 1Rate* 0.7 --- --- ---95% C.I. (0.31-1.10) --- --- ---

45-54 56 40 11 5Rate* 3.8 4.0 4.2 ---95% C.I. (2.77-4.73) (2.74-5.20) (1.72-6.68) ---

55-64 188 136 19 33Rate* 17.2 18.1 10.9 19.895% C.I. (14.76-19.68) (15.05-21.14) (6.02-15.86) (13.06-26.59)

65-74 307 215 49 43Rate* 42.8 43.5 46.0 37.295% C.I. (38.04-47.62) (37.65-49.27) (33.11-58.87) (26.09-48.33)

75-84 380 283 50 45Rate* 92.5 101.1 79.0 66.395% C.I. (83.16-101.75) (89.36-112.92) (57.07-100.85) (46.94-85.69)

85+ 84 57 14 13Rate* 88.4 93.6 80.2 78.095% C.I. (69.50-107.32) (69.32-117.94) (38.19-122.20) (35.58-120.33)

Unknown 0 0 0 0


Total

Age Group

247


Table 139. Urinary Bladder Cancer Inpatient Discharges by Age Group and Gender, Nevada Residents, 2000-2004

* Rates are per 100,000 age-specific population. Note: The "---" is used for rates calculated on numbers less than ten. Caution should be used when comparing inpatient hospital discharge data to other data sources, since it is occurrence-based data. Please See Technical Notes for more information.

Male Female Total

<1 0 0 0Rate* --- --- ---95% C.I. --- --- ---

1-4 0 0 0Rate* --- --- ---95% C.I. --- --- ---

5-14 0 0 0Rate* --- --- ---95% C.I. --- --- ---

15-24 2 0 2Rate* --- --- ---95% C.I. --- --- ---

25-34 2 2 4Rate* --- --- ---95% C.I. --- --- ---

35-44 8 4 12Rate* --- --- 0.7095% C.I. --- --- (0.31-1.10)

45-54 45 11 56Rate* 5.95 1.49 3.7595% C.I. (4.21-7.68) (0.61-2.38) (2.77-4.73)

55-64 163 25 188Rate* 30.29 4.52 17.2295% C.I. (25.64-34.93) (2.75-6.29) (14.76-19.68)

65-74 233 74 307Rate* 65.95 20.36 42.8395% C.I. (57.48-74.41) (15.72-25.00) (38.04-47.62)

75-84 289 91 380Rate* 155.66 40.39 92.4695% C.I. (137.71-173.60) (32.09-48.68) (83.16-101.75)

85+ 61 23 84Rate* 192.02 36.37 88.4195% C.I. (143.83-240.21) (21.50-51.23) (69.50-107.32)

Unknown 0 0 0Total 803 230 1,033

Rate* 14.45 4.27 9.4495% C.I. (13.4-15.4) (3.7-4.8) (8.9-10.0)

AgeGroup

Gender

248


Table 140. Urinary Bladder Cancer Inpatient Discharges by County/Region of Residence, Nevada Residents, 2000-2004


Table 141. Urinary Bladder Cancer Inpatient Discharges by Age Group, Charges

and Length of Stay, Nevada Residents, 2000-2004


Carson City 18 7.0 (3.8-10.3) 5.6 (3.3-9.0)Churchill 15 12.0 (5.9-18.1) 12.1 (6.8-20.6)Clark 746 9.7 (9.0-10.4) 11.2 (10.4-12.0)Douglas 13 5.9 (2.7-9.1) 5.0 (2.6-9.2)Elko 18 7.9 (4.2-11.5) 18.3 (10.4-30.3)Esmeralda 0 --- --- --- ---Eureka 0 --- --- --- ---Humboldt 5 --- --- --- ---Lander 4 --- --- --- ---Lincoln 1 --- --- --- ---Lyon 33 16.8 (11.1-22.6) 15.1 (10.3-21.6)Mineral 2 --- --- --- ---Nye 22 12.5 (7.3-17.7) 7.8 (4.9-12.1)Pershing 2 --- --- --- ---Storey 3 --- --- --- ---Washoe 145 8.1 (6.8-9.4) 9.5 (8.0-11.2)White Pine 4 --- --- --- ---Unknown 2 --- --- --- ---Total 1,033 9.4 (8.9-10.0) 10.5 (9.9-11.2)

County of Residence

2000-2004 Inpatient Hospital Discharges


Total Average Median Total Average Median

<1 0 --- --- --- --- --- ---1-4 0 --- --- --- --- --- ---5-14 0 --- --- --- --- --- ---15-24 2 --- --- --- --- --- ---25-34 4 --- --- --- --- --- ---35-44 12 463,557 38,630 35,920 79 6.6 6.545-54 56 2,533,597 45,243 25,937 389 7.0 6.055-64 188 7,332,986 39,005 27,522 1,137 6.1 4.065-74 307 13,950,889 45,443 25,135 2,168 7.1 5.075-84 380 16,193,529 42,615 21,796 2,612 6.9 4.085+ 84 2,265,334 26,968 18,902 430 5.1 4.0Unknown 0 --- --- --- --- --- ---Total 1,033 42,953,616 41,581 22,690 6,860 6.6 4.0

AgeGroup Discharges

Charges ($) Length of Stay (Days)

249


MORTALITY Figure 96. Urinary Bladder Cancer Age-Adjusted (2000) Mortality Rates, Nevada

Residents, 2000-2004 Note: Rates are per 100,000 population and age-adjusted to 2000 US Standard population. Caution should be used when interpreting rates based upon small numbers. See Technical Notes for more information.

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CCllaarrkk

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PPeerrsshhiinngg

MMiinneerraall


LLaannddeerr

EEuurreekkaa

250


Figure 97. Urinary Bladder Cancer Age-Adjusted Mortality Rates by County/Region of Residence, Nevada Residents, 2000-2004

Figure 98. Urinary Bladder Cancer Age-Adjusted Mortality Rates by

Race/Ethnicity, Nevada Residents, 2000-2004

5.2 5.1 5.1 5.1

0.0

1.5

3.0

4.5

6.0

All Other Counties Clark Washoe Total


Age

-Adj

uste

d R

ate

(Per

100

,000

200

0 U

S St

anda

rd p

opul

atio

n)

5.5

3.5 3.5

0.0

3.5

5.1

0.0

1.5

3.0

4.5

6.0

White Black Hispanic Native American Hispanic Total

Race/Ethnicity

Age

-Adj

uste

d R

ate

(Per

100

,000

200

0 U

S St

anda

rd p

opul

atio

n)

251


Table 142. Urinary Bladder Cancer Mortality by Gender, Race/Ethnicity and County/Region of Residence, Nevada Residents, 2000-2004



Mortality 474 321 75 78Rate* 5.1 5.1 5.1 5.295% C.I. (4.7-5.6) (4.6-5.8) (4.0-6.4) (4.1-6.5)

Male 339 229 48 62Rate* 8.5 8.5 7.7 9.195% C.I. (7.5-9.5) (7.3-9.8) (5.6-10.6) (6.9-12.0)

Female 135 92 27 16Rate* 2.7 2.7 3.2 2.095% C.I. (2.2-3.2) (2.2-3.3) (2.1-4.7) (1.1-3.3)

Other/Unknown 0 0 0 0

White 432 286 69 77Rate* 5.5 5.6 5.2 5.695% C.I. (5.0-6.1) (5.0-6.3) (4.0-6.6) (4.4-7.0)

Black 16 15 1 0Rate* 3.5 3.5 --- ---95% C.I. (2.0-6.2) (1.9-6.4) --- ---

Native American 3 1 2 0Rate* --- --- --- ---95% C.I. --- --- --- ---

Asian 8 6 2 0Rate* --- --- --- ---95% C.I. --- --- --- ---

Hispanic 14 12 1 1Rate* 3.5 3.9 --- ---95% C.I. (1.8-6.4) (1.8-7.5) --- ---

Other/Unknown 1 1 0 0

County/Region of ResidenceCategory

Total

Gender

Race/Ethnicity

252


Table 143. Urinary Bladder Cancer Mortality by Age Group and County/Region of Residence, Nevada Residents, 2000-2004

Note: The "---" is used for rates calculated on numbers less than ten. * Rates are per 100,000 age-specific population.


Deaths 474 321 75 78Rate* 5.1 5.1 5.1 5.295% C.I. (4.7-5.6) (4.6-5.8) (4.0-6.4) (4.1-6.5)

<1 0 0 0 0Rate* --- --- --- ---95% C.I. --- --- --- ---

1-4 0 0 0 0Rate* --- --- --- ---95% C.I. --- --- --- ---

5-14 0 0 0 0Rate* --- --- --- ---95% C.I. --- --- --- ---

15-24 0 0 0 0Rate* --- --- --- ---95% C.I. --- --- --- ---

25-34 2 2 0 0Rate* --- --- --- ---95% C.I. --- --- --- ---

35-44 5 2 1 2Rate* --- --- --- ---95% C.I. --- --- --- ---

45-54 18 13 2 3Rate* 1.2 1.3 --- ---95% C.I. (0.65-1.76) (0.59-1.99) --- ---

55-64 73 47 14 12Rate* 6.7 6.3 8.1 7.295% C.I. (5.15-8.22) (4.47-8.04) (3.84-12.28) (3.13-11.29)

65-74 123 82 17 24Rate* 17.2 16.6 16.0 20.895% C.I. (14.13-20.19) (12.99-20.16) (8.37-23.54) (12.46-29.08)

75-84 175 125 28 22Rate* 42.6 44.7 44.2 32.495% C.I. (36.27-48.89) (36.84-52.50) (27.84-60.60) (18.87-45.97)

85+ 78 50 13 15Rate* 82.1 82.1 74.5 90.095% C.I. (63.88-100.31) (59.37-104.90) (33.99-114.94) (44.43-135.46)

Unknown 0 0 0 0

Category


Total

Age Group

253


Table 144. Urinary Bladder Cancer Mortality by County of Residence, Nevada Residents, 2000-2004


Table 145. Urinary Bladder Cancer Mortality by Race/Ethnicity and Gender, Nevada Residents, 2000-2004



Carson City 22 8.6 (5.0-12.2) 7.3 (4.5-11.1)Churchill 4 --- --- --- ---Clark 321 4.2 (3.7-4.6) 5.1 (4.6-5.8)Douglas 15 6.8 (3.3-10.2) 6.2 (3.3-10.8)Elko 4 --- --- --- ---Esmeralda 0 --- --- --- ---Eureka 0 --- --- --- ---Humboldt 4 --- --- --- ---Lander 2 --- --- --- ---Lincoln 0 --- --- --- ---Lyon 14 7.1 (3.4-10.9) 6.9 (3.7-11.9)Mineral 3 --- --- --- ---Nye 7 --- --- --- ---Pershing 1 --- --- --- ---Storey 0 --- --- --- ---Washoe 75 4.2 (3.2-5.1) 5.1 (4.0-6.4)White Pine 2 --- --- --- ---Unknown 0 --- --- --- ---Total 474 4.3 (3.9-4.7) 5.1 (4.7-5.6)

County of Residence

at Diagnosis

2000-2004 Mortality


Male Female Other/Unknown Total

White Incidence 314 118 0 432Rate* 9.1 2.8 --- 5.595% C.I. (8.1-10.3) (2.3-3.4) --- (5.0-6.1)

Black Incidence 10 6 0 16Rate* 5.5 --- --- 3.595% C.I. (2.3-12.5) --- --- (2.0-6.2)Incidence 2 1 0 3Rate* --- --- --- ---95% C.I. --- --- --- ---

Asian Incidence 5 3 0 8Rate* --- --- --- ---95% C.I. --- --- --- ---

Hispanic Incidence 8 6 0 14Rate* --- --- --- 3.595% C.I. --- --- --- (1.8-6.4)

Other/Unknown 0 1 0 1Total Incidence 339 135 0 474

Rate* 8.5 2.7 --- 5.195% C.I. (7.5-9.5) (2.2-3.2) --- (4.7-5.6)

Gender

Native American

Race/Ethnicity

254


Table 146. Urinary Bladder Cancer Mortality by Age Group and Gender, Nevada Residents, 2000-2004

* Rates are per 100,000 age-specific population. Note: The "---" is used for rates calculated on numbers less than ten.

Male Female Total

<1 0 0 0Rate* --- --- ---95% C.I. --- --- ---

1-4 0 0 0Rate* --- --- ---95% C.I. --- --- ---

5-14 0 0 0Rate* --- --- ---95% C.I. --- --- ---

15-24 0 0 0Rate* --- --- ---95% C.I. --- --- ---

25-34 2 0 2Rate* --- --- ---95% C.I. --- --- ---

35-44 1 4 5Rate* --- --- ---95% C.I. --- --- ---

45-54 10 8 18Rate* 1.32 --- 1.2195% C.I. (0.50-2.14) --- (0.65-1.76)

55-64 54 19 73Rate* 10.03 3.43 6.6995% C.I. (7.36-12.71) (1.89-4.98) (5.15-8.22)

65-74 91 32 123Rate* 25.76 8.80 17.1695% C.I. (20.46-31.05) (5.75-11.85) (14.13-20.19)

75-84 129 46 175Rate* 69.48 20.41 42.5895% C.I. (57.49-81.47) (14.51-26.31) (36.27-48.89)

85+ 52 26 78Rate* 163.69 41.11 82.0995% C.I. (119.20-208.18) (25.31-56.91) (63.88-100.31)

Unknown 0 0 0Total 339 135 474

Rate* 6.10 2.51 4.3395% C.I. (5.4-6.7) (2.1-2.9) (3.9-4.7)

AgeGroup

Gender

255


Table 147. Median Age at Death from Urinary Bladder Cancer by Race/Ethnicity and Gender, Nevada Residents, 2000-2004

Note: Those cases of other/unknown gender and/or unknown ages are not included in this table. The median age was not calculated for those numbers less than five.

Cases Median Age Cases Median

Age Cases Median Age

White 314 76.0 118 75.5 432 76.0

Black 10 74.5 6 69.5 16 73.0

Native American 2 --- 1 --- 3 ---

Asian 5 70.0 3 --- 8 67.0

Hispanic 8 80.5 6 82.0 14 80.5

Other/Unknown 0 --- 1 --- 1 ---

Total 339 76.0 135 76.0 474 76.0

Race/Ethnicity

Gender

Male Female Total

256


SURVIVAL RATE

Figure 99. Survival Rates for Urinary Bladder Cancer by Race/Ethnicity, Nevada Residents, 2000-2004

Notes: The survival rate for those racial/ethnic groups not included in this chart could not be calculated due to small cell size.

Figure 100. Survival Rates for Urinary Bladder Cancer by Stage of Cancer at Diagnosis, Nevada Residents, 2000-2004

88.3%

73.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

1-Year 2-Years 3-Years 4-Years 5-YearsPeriod of Time

Cau

se S

peci

fic S

urvi

val R

ate

Total

White

Black

73.0%

88.3%

0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

1-Year 2-Years 3-Years 4-Years 5-YearsPeriod of Time

Cau

se S

peci

fic S

urvi

val R

ate

Total

In situ

Localized

Regional

Distant

Unstaged

257


Table 148. Cause-Specific Survival Rates for Urinary Bladder Cancer by

Race/Ethnicity and Gender, Nevada Residents, 2000-2004

Notes: 1) The "---" indicates that survival rate could not be calculated due to small cell size. Caution should be used when interpreting survival rates based upon categories with a small number of cases. 2) Those cases where the gender and/or race/ethnicity were other/unknown, are not shown separately, but are included in the category totals. 3) These rates may not be directly comparable to national rates because of different methodologies. Caution should be used when trying to compare rates for Nevada and the nation. For more information on the calculation of survival rates, please refer to Technical Notes section.

One Year

Two Years

ThreeYears

FourYears

FiveYears

Total 2,031 88.3% 82.7% 79.0% 76.7% 73.0% > 5 YEARS

Male 1,561 89.5% 84.4% 80.2% 77.9% 73.6% > 5 YEARS

Female 470 84.5% 76.7% 75.0% 73.0% 71.0% > 5 YEARS

Race/Ethnicity

White 1,821 88.2% 82.5% 78.8% 76.5% 73.0% > 5 YEARS

Male 1,394 89.2% 84.0% 79.7% 77.4% 73.3% > 5 YEARS

Female 427 84.8% 77.7% 75.9% 73.7% 71.6% > 5 YEARS

Black 52 83.5% 68.6% 62.0% 56.6% 40.5% 4.41

Male 40 --- --- --- --- --- .

Female 12 --- --- --- --- --- .

Native American 3 --- --- --- --- --- .

Male 2 --- --- --- --- --- .

Female 1 --- --- --- --- --- .

Asian 28 --- --- --- --- --- .

Male 20 --- --- --- --- --- .

Female 8 --- --- --- --- --- .

Hispanic 62 89.7% 87.6% 87.6% 87.6% 87.6% > 5 YEARS

Male 54 92.0% 89.5% 89.5% 89.5% 89.5% > 5 YEARS

Female 8 --- --- --- --- --- .

Race/Ethnicity

and Gender

Number of Cases

Cause Specific Survival RateMedian

Survival Time (years)

258


Table 149. Cause-Specific Survival Rates for Urinary Bladder Cancer by Stage of

Cancer at Diagnosis and Gender, Nevada Residents, 2000-2004

Notes: 1) The "---" indicates that survival rate could not be calculated due to small cell size. Caution should be used when interpreting survival rates based upon categories with a small number of cases. 2) These rates may not be directly comparable to national rates because of different methodologies. Caution should be used when trying to compare rates for Nevada and the nation. For more information on the calculation of survival rates, please refer to Technical Notes section.

Total Male Female

Total Cases 2,031 1,561 470

One Year 88.3% 89.5% 84.5%

5 Years 73.0% 73.6% 71.0%Median Survival > 5 YEARS > 5 YEARS > 5 YEARS

In situ Cases 788 595 193

One Year 99.2% 99.5% 98.3%

5 Years 92.7% 92.3% 93.7%

Median Survival > 5 YEARS > 5 YEARS > 5 YEARS

Localized Cases 678 540 138

One Year 89.6% 90.0% 87.9%

5 Years 69.2% 69.2% 69.0%

Median Survival > 5 YEARS > 5 YEARS > 5 YEARS

Regional Cases 152 112 40

One Year 70.5% 75.5% ---

5 Years 34.7% 39.8% ---

Median Survival 2.17 3.02 .

Distant Cases 72 56 16

One Year 17.5% 20.7% ---

5 Years 11.2% 14.7% ---

Median Survival 0.61 0.63 .

Unstaged Cases 341 258 83

One Year 84.7% 87.6% 75.6%

5 Years 75.6% 80.1% 60.9%Median Survival > 5 YEARS > 5 YEARS > 5 YEARS

Stage at Diagnosis

Survival Rate of Stage at Diagnosis

Gender

Documents

URINARY BLADDER CANCER - s3.amazonaws.coms3.amazonaws.com/zanran_storage/health.nv.gov/ContentPages/2515066774.pdfURINARY BLADDER CANCER GENERAL PROFILE4 Figure 88. Anatomy of the